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A model for conceptualizing the role of the mother's representational world in various mother-infant therapies

1989; Wiley; Volume: 10; Issue: 3 Linguagem: Inglês

10.1002/1097-0355(198923)10

1097-0355

Nadia Stern-Bruschweiler, Daniel N. Stern,

Counseling, Therapy, and Family Dynamics

Infant Mental Health JournalVolume 10, Issue 3 p. 142-156 Article A model for conceptualizing the role of the mother's representational world in various mother-infant therapies Nadia Stern-Bruschweiler, Nadia Stern-BruschweilerSearch for more papers by this authorDaniel N. Stern, Daniel N. SternSearch for more papers by this author Nadia Stern-Bruschweiler, Nadia Stern-BruschweilerSearch for more papers by this authorDaniel N. Stern, Daniel N. SternSearch for more papers by this author First published: Autumn (Fall) 1989 https://doi.org/10.1002/1097-0355(198923)10:3 3.0.CO;2-MCitations: 68AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract A model of the mother-infant interaction/relationship is presented that permits systematic descriptions of different therapeutic approaches. The model consists of four interdependent elements in constant dynamic equilibrium. These elements are (1) the infant's overt interactive behavior; (2) the mother's overt interactive behavior (together these two constitute the interaction); (3) the infant's representation of the interaction; and (4) the mother's representation of the interaction (together the four constitute the relationship). Different therapeutic approaches, including a psychoanalytically oriented therapy, interactional coaching, a behavioral pediatric approach, a behaviorist approach, and a family therapy approach are each described in terms of (1) which element in the model provides the clinical information and (2) which element in the model is the direct focus of therapeutic action. Educational, clinical, and research implications of this perspective are discussed. In particular, the importance of changing the mother's representation of the interaction for therapeutic change is stressed. Further, it is argued that the mother's representation can be changed sufficiently by both direct and indirect approaches. References Brazelton, T. B. (1973). Neonatal Behavioral Assessment Scale. Clinics in Developmental Medicine, No. 50. Philadelphia: J. B. Lippincott. Brazelton, T. B. (1982). Joint regulation of neonate-parent behavior. In E. Tronick (Ed.), Social interchange in infancy (pp. 7–22). Baltimore, MD: University Park Press. Brazelton, T. B., Yogman, M., Als, H., & Tronick, R. (1979). The infant as a focus in family reciprocity. In M. Lewis & L. A. Rosenblum (Eds.), The child and its family (pp. 29–43). New York: Plenum Press. Clark, G. N., & Seifer, R. (1983). Facilitating mother-infant communication: A treatment model for high-risk and developmentally delayed infants. Infant Mental Health Journal, 4, 67–82. Cramer, B. (1982a). Interaction reele, interaction fantasmatique: Reflections au su et des therapies et des observations de nourrissons. Psychotherapies, No. 1. Cramer, B. (1982b). La psychiatrie du bebe. In R. Kreisler M. Schappi, & M. Soule (Eds.), La dynamique du nourrison. Paris: Editions E.S.F. Cramer, B., & Stern, D. N. (1988). Evaluation of changes in mother-infant brief psychotherapy. Infant Mental Health Journal, 9, 20–45. Field, T. M. (1978). The three "Rs" of infant-adult interaction: Rhythms, repertoires and responsibility. Journal of Pediatric Psychology, 3, 131–136. Field, T. M. (1982). Interactional coaching for high-risk infants and their parents. Prevention and Human Service, 1, 5–24. Fraiberg, S. H., Adelson, E., & Shapiro, U. (1975). Ghosts in the nursery: A psychoanalytic approach to the problem of impaired infant-mother relationships. Journal of the American Academy of Child Psychiatry, 14, 387–422. Lebovici, S. (1983). Le nourrisson, la mere et le psychoanalyste: Les interactions precoces. Paris: Editions du Centurion. McDonough, S. (1988). Fostering positive family transactions through coaching techniques: A preventive intervention program for high-risk families. Manuscript submitted for publication. Seifer, R., & Clark, G. (1985). The effect of interaction coaching in a comprehensive early interaction program. Presentation at the National Center for Clinical Infant Programs, National Training Institute, Washington, DC. Stern, D. N. (1985). The interpersonal world of the infant. New York: Basic Books. Stern, D. N. (in press). The representation of relational patterns: Some developmental considerations. In A. Sameroff & R. Emde (Eds.), Relational disorders of development. New York: Basic Books. Stern, D. N., Cramer, B., & Robert-Tissot, C. (September, 1989). Presentation at the World Association of Infant Psychiatry and Allied Disciplines. Lugano, Switzerland. Stern-Bruschweiler, N. (1988). Les interventions preventives de la relation mere-enfant precoce: Une exploration systematique des approches cliniques et de leur mechanismes d'action. Thesis for F.M.H. diploma in child psychiatry, University of Geneva, Faculty of Medicine. Citing Literature Volume10, Issue3Autumn (Fall) 1989Pages 142-156 ReferencesRelatedInformation